Individual
JILLIAN L WIGNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
401 N MAIN ST, ROANOKE, IL 61561-7585
(815) 830-1755
Mailing address
103 CALUMET RD, MARQUETTE HEIGHTS, IL 61554-1413
(815) 830-1755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.026938
IL
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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